PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
NPI 1225430150
Prosthetic/Orthotic Supplier in Salt Lake City, UT
NPI Status: Active since September 23, 2014
Contact Information
1275 E FAIRFAX RD
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 536-3820
Fax: (801) 536-3731
- Organization
- Prosthetic/Orthotic Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
This page provides the complete NPI Profile along with additional information for Pediatric Orthotic And Prosthetic Services- West, Llc, a provider established in Salt Lake City, Utah operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1225430150 assigned on September 2014. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is David R Draper Cpo (Director)
- NPI
- 1225430150
- Provider Name
- PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
- Entity Type
- Organization
- Location Address
- 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103
- Location Phone
- (801) 536-3820
- Location Fax
- (801) 536-3731
- Mailing Address
- PO BOX 865109 ORLANDO, FL 32886
- Mailing Phone
- (844) 602-3960
- Mailing Fax
- (801) 536-3731
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-23-2014
- Last Update Date
- 07-23-2015
- Code Navigator
Pediatric Orthotic And Prosthetic Services- West, Llc is a medicare supplier with PTAN 20485181 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License State
- UT
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20485181
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
Reviews for PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES- WEST, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 4 | 3 | 0 | 1 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 8 | 3 | 0 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 8 + 3 + 0 + 1 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1225430150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396187282 | SHRINERS HOSPITALS FOR CHILDREN Organization | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3714 |
| 1508223686 | DAVID DRAPER C.P.O. Individual | Prosthetist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3820 |
| 1356888119 | AMY SHUCKRA DPT Individual | Physical Therapist (Pediatrics) | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3805 |
| 1528556776 | SHRINERS HOSPITALS FOR CHILDREN Organization | Anesthesiology | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3500 |
| 1366010472 | HOLLY NELSON Individual | Physical Therapist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-6310 |
| 1033789755 | SHRINERS HOSPITALS FOR CHILDREN Organization | Clinic/Center (Rehabilitation) | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3500 |
| 1669611935 | JAIME E ESTRADA PA-C Individual | Physician Assistant | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3600 |
| 1942597968 | DR. CRYSTAL AMBER HAAKENSON DPT Individual | Physical Therapist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3614 |
| 1033285622 | EMILY TYLER PA Individual | Physician Assistant | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3500 |
| 1114702628 | CLAYTON JAMES GARCIA DPT Individual | Physical Therapist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (209) 814-0928 |
| 1669256475 | DR. JILLIAN MARIE EASTWOOD DPT Individual | Physical Therapist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3500 |
| 1386481547 | JENNIFER ANNE HILTS PT, DPT Individual | Physical Therapist | 1275 E FAIRFAX RD SALT LAKE CITY, UT 84103 (801) 536-3752 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225430150, enumerated in the NPI registry as an "organization" on September 23, 2014
The provider is located at 1275 E Fairfax Rd Salt Lake City, Ut 84103 and the phone number is (801) 536-3820
This medical organization specializes in Prosthetic/Orthotic Supplier with taxonomy code 335E00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.